Queensland MORAND M Government - Barrett...6.4 Risk Management • Nil changes to the Risk Register...

Queensland Government

Queensland Health

MORAND M To: Lesley Dwyer, Chief Executive Officer1 West Moreton Hospital and

Health Service

Dr Richard Ashby 1 Chief Executive Officer, Metro South Hospital and Health Service

Copies to: Jason Flenley, A/Executive Director, Capital Delivery Program, Health Infrastructure Office

From:

Subject:

Glenn Rashleigh, Chief Health Infrastructure Office, System Suppo1i Services

Contact No: Fax No:

Cancellation of Capital Delivery Project

File Ref: !':>GS<.,,\JCO<il Hr>1002. no

-Ref-Number-

The purpose of this memo is to advise of a decision by government to cancel or defer a small number of capital delivery projects.

This includes the cancellation of the replacement Adolescent Mental Health Unit at Redlands from the current location at Waco!.

For further information, please contact Jason Flenley, AJExecuUve Director, Capital Delivery Program on email or phone

Yours sinc~rE)ly

GChief Health Infrastructure Office System Support Services Director - Capital Delivery Program

;{://I 08 /2012

JKR.900.001.0065EXHIBIT 72

The purpose of the Statewide Adolescent Extended Treatment and Rehabilltatfon Implementation Steering Committee (Steering Committee) is to:

• Monitor and oversee the implementation of the Statewide Adolescent Extended Treatment Rehabilitation Implementation Strategy Project Plan (Project Plan) to ensure that project milestones and key deliverables are met in the required timeframes, and that all accountabilities are fulfilled. Review and submit any proposed amendments of the Project Plan to the Chief Executive (CE) and Department of Health (DoH) Oversight Committee for approval. Establish! monitor and oversee the three Working Groups and their associated processes and outputs. Provide a decision-making, guidance and leadership role with respect to mental health service planning, models of care, staffing transition, financial management and consumer transition associated with the project. Provide governance of the project risk management process and associated mitigation strategies1

and escalate in a timely manner to the CE and DoH Oversight Committee. Identify roles and responsibilities within the key stakeholder groups regarding information collection and reporting, transition of consumers, re-allocation of funding 1 including the identification of overlap and related roles. Prepare a communication plan for endorsement by the CE and DoH Oversight Committee. To facilitate expert discussion from key clinician and consumer stakeholder groups around planning and implementation activity associated with the Project Plan. Preparation and provision of update reports to the Executive Management Team, and Hospital · and Health Service Board as required. To oversee the management of strategic risks. To monitor overall budget and financial management associated with the Project Plan. Provide an escalation point for the resolution of issues and barriers associated with implementation of the Project Plan.

The Health Services Act 1991 Fourth National Mental Health Plan Queensland Plan for Mental Health 2007-2017

Committee members are Individually accountable for their delegated responsibility and collectively responsible to contribute to advice provided by the Committee to the Chair in the interests of a whoie-ofservice position.

The Committee will endorse all deliverables for approval by the Chief Executive and of Health DoH) Oversight Committee.

Decision Making: • Recommendations made by the Steering Committee, to the DoH Oversight will be by

majority. • If there is no group consensus in relation to critical matters the Chair has the right to decide • Decisions will be recorded in the minutes of the moOTW\l"'t

Date

JKR.900.001.0066EXHIBIT 72

Health

held fortnightly on a Monday at 8:30am for 1.5 hours in duration unless othervvise

ln addition, the Chair may call additional meetings as necessary to address any matters referred to the committee or in of matters the committee wishes to pursue within its Term of Reference.

Attendance can be in-person, or via teleconference mediums.

The Committee is life limited for the duration of development, implementation and evaluation of the project SW AETR options. The Chair will advise the Committee members approximately one month prior to the dissolution of the Steering Committee once the service is mainstreamed.

Divisional Director Clinical Director Director of Strategy

1 Director Senior Representative Senior Representative Senior Representative Senior Representative Senior Representative Consumer Representative Carer Representative Clinical Director Senior Representative Executive Di rector

CYMHS, CHQ HHS CYMHS, CHQ HHS MHSS, West Moreton HHS Planning and Partnership Unit, MHAOD Branch Queensland Alliance headspace Mental Health, Northern Clinical Cluster (or equivalent) Mental Health, Central Clinical Cluster (or equivalent) Mental Health, Southern Clinical Cluster (or equivalent)

BAC, MHSS, West Moreton HHS Metro South HHS Office of Strategy Management CHQ HHS

Co Chair Co Chair Member Member Member Member Member Member Member Member Member Member Member Member

Membership will take into account issues associated with confidentiality and conflicts of interest (including contestability).

1 Chair: ! 1 The Steering Committee w111 oe co chaired by me Drvlsional Director of CYMHS CHQ and the Clinical

Director of CYMHS CHQ, or his/her delegate. The delegate must be suitably briefed prior to the meeting and have the authority to make decisions on behalf of the Chair.

Secretariat: The Secretariat will be ,,..,,_,., .. ,.,..,,=,... by who will facilitate the of the: • Venue • Agenda • Minutes of

endorsement the Chair five (5) to the

Proxies: Proxies are not ".:lr>t~onfori for this -..:Tl'.'.>Orlli"'tt"'<

for each occasion

moc..t·1r"·1 of the committee. such persons do ae~::;1s1on--mc:~K1r1q processes of the committee.

JKR.900.001.0067EXHIBIT 72

The Statewide Adolescent Extended Treatment and Rehabilitation Implementation Steering Committee provides the following:

Monthly Project Status Reports will be provided by the Steering Committee to the CE and DoH Oversight Committee, Queensland Mental Health Commissioner, Department of Education Training and Employment, and HHS Boards as identified by the CE and DoH Oversight Committee. I Fortnightly written updates will be provided by each of the Working Groups to the Steering I Committee seven (7) days prior to each Committee meeting for discussion as a standing agenda item.

Performance will be determined by objectives of the frames.

Plan being met within the required time-

The Secretariat is to circulate an action register to Steering Committee members within three business days of each Steering Committee meeting.

The Secretariat will coordinate the endorsement of status reports and other related advice to be provided as required to the Executive Management Team and/or the Hospital and Health Service Board. Members are expected to respond to out of session invitations to comment on reports and other advice within the timeframes outlined by the Secretariat. If no comment is received from a member, it wm be assumed that the member has no concerns with the report/advice and it will be taken as endorsed.

! Members must acknowledge and act accordingly in their responsibility to maintain confidentiality of all information that is not in the public domain.

A proactive approach to risk management will underpin the business of this Steering Committee.

The Committee will: Identify risks and mitigation strategies associated with the implementation of the project plan; and Implement to enable the Committee to identify, monitor and manage critical risks as they relate to the functions of the Committee.

Risks will be idenUfied and documented in the project plan and new risks identified will be escalated to the Steering Committee and reviewed as a standing agenda item.

A Risk Register will be established and reviewed at the Steering Committee

Date Date

41

JKR.900.001.0068EXHIBIT 72

Previous versions should be recorded and available for audit.

JKR.900.001.0069EXHIBIT 72

Id H n !an

Meeting Agenda State-wide Adolescent Extended Treatment and Rehabilitation Implementation Strategy

Date:

Time:

Venue:

Video/ Teleconference Details:

Chair:

Secretariat:

Attendees:

Apologies:

Observers I Guests:

4 November 2013

9am - 10.30am

Seminar Room, CYMHS, Cnr Roger and Water Streets Spring Hill (parking via Roger St entrance)

Details will be provided on request

Judi Krause Divisional Director CYMHS CHO HHS

Stephen Stathis Clinical Director CYMHS CHO HHS

Ingrid Adamson SW AETR Project Manager

Deborah Miller A/Executive Director Office of Strategy Management, CHO HHS

Elisabeth Hoehn A/Clinical Director CYMHS CHO HHS

Josie Sorban Director of Psychology, CHO HHS

Laura Johnson Project Officer, SW AETR, WM HHS

Leanne Geppert A/Director of Strategy, Mental Health & Specialised Services, WM HHS

Marie Kelly A/Director Planning and Partnership Unit, MHAODB

Raymond Ho Clinical Services Program Manager, Metro South Addiction and Mental Health Service, Metro South HHS

Carer Representative

Consumer Representative

Amanda Tilse Operational Manager Alcohol, other Drugs & Campus, Mater Hospital

Current BAC Parent, representing Parent Submission



1. Presentations

Item no Item

1.0 Parents' Submission to 10am)

Page of

Action Officer

Chair

I

JKR.900.001.0070EXHIBIT 72

ren's H nsland Hos Service

2. Meeting Opening

Item no Item

2.1 Welcome and Apologies

2.2 Statement of Conflict/Interest

2.3 Confirmation of the minutes from the previous meeting (attached)

2.4 Statement of achievements

3. Business Arising from previous minutes

Item no Item

3.1 • Nil

4. Matters for Decision

Item no Item

4.1 • Nil

5. Matters for Discussion

Item no Item

5.1 Visit to NSW Walker and Rivendell Units

5.2 Project staffing allocation post January 2014

6. Standard Agenda Items

Item no Item

6.1 Service Options Working Group Update

• Status Update

• Case Scenario Summary

6.2 Clinical Care Transition Panels Update

• Status Update

6.3 Financial and Workforce Planning Working group Update

• Status Update

6.4 Risk Management • Nil changes to the Risk Register

6.5 Progress of key milestones and deliverables

• Monthly Status Report

6.6 Other business

7. Matters for Noting

Item no Item

7 .1 Major correspondence • ABC - World Today Interview

8. For Information (papers only)

Item no Item

8.1 '"'"'"''"" ... ""' discussions with Sandra from her visit is scheduled for early December. An ".lrH::.nri".:l for her visit is under na\1011•nrn°1•r

Page 2 4

Action Officer

Chair

Chair

Chair

Chair

Action Officer

Action Officer

Action Officer

SS/JK

Chair

Action Officer

SS

LG

LG I IA

IA

IA

Action Officer

SS

Action Officer

LG

JKR.900.001.0071EXHIBIT 72

Date:

Time:

Venue:

ren's H ns d

Next Meeting

Monday 181h November 2013

9am - 10.30am

Service

Seminar Room, CYMHS Cnr Roger & Water Streets Spring Hill

Page 3 4

JKR.900.001.0072EXHIBIT 72

rerl' H eenstand Hospital and Hea Service

Working Group I Contact each working group to establish membership I Leanne Geppert I 23/09/13 I First meeting 22/10/13 Membership and convene meetings - CE Oversight

Committee direction re uired

09/09/13 I 4.2 I Committee Action I Finalise Project Plan; and develop Risk Register and Ingrid Adamson 21/10/13 Project Plan endorsed Plan Comms Plan and Risk Register

developed; Comms Plan still under development

09/10/13 I 3.1 I Working Group Email consumer scenarios to WG1 representatives for Leanne Geppert I 21/10/13 I Completed Update input Stephen Sta th is

09/10/13 I 3.1 I Working Group Present to the Child and Youth Statewide Advisory Stephen Stathis I 31/10/13 Update Group at the end of the month

3 I 3.1 I Working Group Establish web page for SW AETR Initiative - part of I Ingrid Adamson I 31/10/13 Update CHQ Communications Strategy

09/10/13 3.4 Correspondence CHQ to finalise communications strategy Ingrid Adamson 21/10/13 Underway 09/10/13 5.1 Victorian Visit Confirm travel dates with Sandra Radovini Leanne Geppert 31/10/13 Underway

21/10/13 5.1 Parent Submission Circulate Parent Submission to Committee Members Ingrid Adamson 30/10/13 Completed

21/10/13 5.1 Parent Submission Circulate consumer engagement framework/Committee Ingrid Adamson 30/10/13 Completed uidelines

21/10/13 6.1 I Service Options I Present findings from Case Scenario responses I Stephen Stathis I 04/11/13 I Underway Working Group

21/10/13

I 6.2 I Clinical Care Panel Provide status update for monthly report Laura Johnston 31/10/13 Completed

3 6.5 Project Milestones Present completed Gantt Chart Ingrid Adamson 04/11/13 Underway

Page 4 of 4

JKR.900.001.0073EXHIBIT 72

Ch H nsland Service

Minutes State-wide Adolescent Extended Treatment and Rehabilitation Implementation Strategy

04/11/2013 09:00am Water Streets,

Chair: Divisional Director CYMHS CHO HHS (JK)

Clinical Director CYMHS CHO HHS (SS)

Secretariat: SW AETR Project Manager (IA)

Attendees NDirector of Strategy, Mental Health & Specialised Services WM HHS (LG)

SW AETR Project Officer

NExecutive Director Office of Strategy Management, CHO (DM)

Clinical Services Program Manager, Metro South Addiction and Mental Health Service (RH)

NClinical Director CYMHS (EH)

Director of Psychology, CHO HHS (JS)

Teleconferenced Carer Representative


NDirector Planning & Partnership Unit MHAODB (MK)

Apologies

Operational Manager Alcohol, other Drugs & Campus, Mater (AT)

Observers/ Parent Guests:

2. 2.1 2.2 2.3 2.4

Parent

Parent Presentation • presented to the Committee. They

also distributed some handouts for the Committee's Information

• After the parents left, LG advised care planning is underway and that there is no imperative to have children out by 13th December. This date is the end of the school term. LG advised that, if at the end of January, they still have consumers then they will keep the BAC doors open to care for them.

Meeting opening Welcome and Apologies Statement of ConflicUlnterest Confirmation of Minutes Statement of achievements

I . LG wanted to acknowledge that the two districts are v·vo1ki119 well together as issues arise and appreciates the collaboration.

Page 1 of

Distribute handouts IA provided by parents

l ~

I

Nil Chair Nil Chair Confirmed LG,EH Covered below Chair

8/11

~

I

I

JKR.900.001.0074EXHIBIT 72

ildren's Health ee nd Hea Service

4. 4.1 5. 5.1

6. 6.1

6.2

6.3

Matters for Decision Nil Matters for Discussion • JK has had communication with Lesley van

Schoubroeck and she advised that she is receiving questions regarding BAC and asked if it would be ok to distribute the BAC Fact Sheets to her. LG agreed to add her to the distribution list so she receives the latest fact sheets as they are produced.

Visit to NSW Walker and Rivendell Units • JK shared information regarding the recent site

visit to NSW. • A site visit report will be circulated to the steering

committee.

• RH raised the question: what are the resource differences for NSW families compared with QLD? JK stated further information could be collected on this.

• EH noted that the discharge experience at BAC has been challenging - not in so far as families not engaging but rather getting them involved in the ongoing management of their child post discharge.

• It was noted that education is a critical element in this and we need to look at how this is done. For example, Mater and RCH schools are identified as leaders nationally - need to look at what they are doing well. Also need to look at how Education complements the mental health service.

Project Staffing Allocation • Due to time constraints this item was not

discussed.

Standard Agenda Items Service Options WG Update

• Due to time constraints this item, and the Case Scenario Responses, were not discussed

Clinical Care Transition Panels Update

• LJ briefly covered the Panel Status Report provided to the Committee

Financial and Workforce Planning WG Update

• Noted that agreement was not reached between WM HHS and CHQ HHS regarding the purpose and ToR for the WG.

• OM noted both HHSs needed to work together to collate current financial information and to inform workforce and financial requirements for future service options.

• Direction is now sought from the Steering

Page 2 of

i I

Add Lesley to distribution list

Distribute site visit report

Seek further information regarding NSW services

Explore education elements as part of service model

Distribute Terms of Reference with comments and WG Minutes to Steering Committee for review

I I

LG 8/11

IA 18/11

JK/SS 18/11

SS Ongoing

l

1

IA 8/11

JKR.900.001.0075EXHIBIT 72

!d H nd Hos Service

Item No Topic

Committee 6.4 Risk Management

• Nil risks to note 6.5 Progress of key milestones and deliverables

• An update on progress will be provided through the Project Gantt Chart at future meetings - still under development

6.6 Other Business

• Nil 7. Matters for Noting 7.1 Major correspondence

• Noted that several interviews have been held with ABC-World Today, including two with parents, one with SS on Wednesday 3Qth and one with Sharon Kell on Frida 1st

8.1 • It was noted that Sandra Radovini's visit will now take place in mid-December.

ENDORSED BY:

Signature: Date: /09/13

Name: Position:

Page 3 of

Action Committee Due member date

I I I

49

JKR.900.001.0076EXHIBIT 72

Hea


Date: 26 August 2013

Time: 9am - 10am

Venue: Rm 30, CYMHS Cnr Roger & Water Streets Spring Hill

Teleconference Details:

Co-Chair:

Co-Chair:

Secretariat:

Attendees:

Apologies:

Invitees

Judi Krause

Dr Stephen Stathis

Jaimee Keating

Dr Leanne Geppert

Dr Trevor Sadler

Josie Sorban

I

Deborah Miller

Amanda Tilse

Marie Kelly

Richard Nelson

1. Presentations

Item no Item

1.0

2. Meeting Opening

Item no Item

Welcome and Apologies

Statement of Conflict/Interest

Divisional Director CYMHS CHQ HHS

Clinical Director CYMHS CHQ HHS

ESO, CYMHS CHQ HHS

A/Director of Strategy, Mental Health & Specialised Services WM HHS

Director Barrett Adolescent Centre, The Park Centre for MH

Director of Psychology, CHQ HHS


A/Executive Director Office of Strategy Management, CHQ

Operational Manager Alcohol, other Drugs & Campus, Mater

A/Director Planning & Partnership Unit MHAODB

Queensland Alliance

Time

Time

Action Officer

Action Officer

Chair

Chair

2.1

2.2

2.3

2.4

Confirmation of the minutes from the previous meeting -

Statement of achievements

Chair

Chair


Page 1 of

JKR.900.001.0077EXHIBIT 72

Hea n Ian Hos Hea

Item no Item Time Action Officer

3.1 Nil.



4.1 Committee Objectives

4.2 Committee TOR (meeting frequency/ dates)

4.3 Committee Action Plan

4.4 Working Group Membership and Objectives

4.5 Communication Plan



5.1 Overview of Child & Youth Mental Health System and Service Planning in LG Queensland to-date - presentation

5.2 Overview of Expert Clinical Reference Group Recommendations and LG Media Announcement



6.1 BAC Consumer Transition Working Group update

6.2 Financial and Workforce Planning Working group update

6.3 Service Options Working Group update

6.4 Risk Management

6.5 Progress of key milestones and deliverables.

6.6 Other business



7.1 Major correspondence

7.2 Minutes of Working Groups



8.1

Next Meeting

Date: TBC

Time:

Venue:

Page 2 2

1

JKR.900.001.0078EXHIBIT 72

ren H ee land Health


251os12013 -~~~o Rm 30 CYMHS Cnr Rogers & Water Streets, Spring Hiii

Co-Chair: Divisional Director CYMHS CHO HHS

Co-Chair: Clinical Director CYMHS CHO HHS

Secretariat: ESQ CYMHS

Attendees:

Observers/ Guests:

Apologies:

A/Divisional Director

Enter name(s)

Queensland Alliance

2.1 Welcome and apologies

2.2 Statement of ConflicUlnterest

2.3 Confirmation of Minutes

Business

Mater

Carer Representative advised that they would like anonymity outside of direct group and broader QH membership. Decision to make all correspondence of this group reflect positions and not names of individuals.

Nil.

3. Business Arising from Previous Meetings

Nil.

Recommendation: Discussion Points:

Page

DD CYMHS

:

JKR.900.001.0079EXHIBIT 72

i!d sH Hea Service


4.1 Committee objectives Discussion Points:

Recommendation: Not discussed.

•

4.2 Committee TOR Discussion Points: Chair 919

Recommendation: Include in TOR.

Changes to TOR. • Purpose: include oversight of • development and adaptation of relevant Models of Service to fit Queensland's requirements for AET&R services.

• Authority: Chair has the authority to I

make final decisions if consensus is not reached.

• Member: include inviting experts in the field/ key stakeholders to provide guidance and direction where deemed necessary as ex officio members of the group.

• Meeting dates will be fortnighly, Mondays at 8.30am 10am secretariat will send electronic appointments.

4.3 Committee Action Plan Discussion Points: Chair 919

Recommendation: The draft project plan will be tabled •

• Nil. and discussed at the next meeting.

• The branch is providing project funding for both CHO and WM HHS's. CHO have tentatively secured a project leader and the Clinical Director CYMHS will contribute .2 FTE. Update given next meeting.

• WM HHS will also host a project officer.

4.4 Working Group Membership Discussion Points: and Objectives

Recommendation: • Discussed membership of working groups - draft membership to be

• Carer/Consumer reps to be disseminated to group for feedback. Secretariat I 919

included in W. G for This is to include a brief outline of the A.Dir.

Consumer Transition and purpose of each W.G. Strategy WM

Service Options • The TOR of W.G's are to articulate the HHS 919

Implementation role of each member, particularly cluster reps.

• Group requested the Expert Clinical Reference Group Recommendations 919 (preamble) be circulated - this will be distributed individually in hard copy -not for further distribution I

Page 2 4

JKR.900.001.0080EXHIBIT 72

i!d 's H Ith eens!and

4.5 Communication Plan

Recommendation: I I • All communication is via the

Co-chairs. • All correspondence is

confidential.


5.1

5.2

6.1

6.2

6.3

6.4

6.5

Overview of Child & Youth Mental Health System and Service Planning in Queensland to-date - presentation by LG attached

Recommendation: New service options need to consider implications of ABF and other funding criteria.

Overview of Expert Clinical Reference Group Recommendations and Media Announcement - presentation by LG combined with previous agenda item

Service Options Working Group update

BAC Consumer Transition Working Group update

Financial and Workforce Planning Working group update

Risk Management

Progress of key milestones and deliverables.

Other business

Hea Service

Discussion Points:

• All correspondence is confidential and not for further distribution.

• All media/ community sector communication is via the co-chairs who will liaise with CHQ & WM Communication & Engagement teams.

Discussion Points:

• Presentation ppt will be disseminated to the group.

• Any recommendations on alternative models of care for AET&R need to be in scope for Activity Based Funding to be eligible for Commonwealth growth funding.

• Send National Mental Health Service Planning Framework I Project Communique with minutes.

Discussion Points:

• Send Recommendations/ Ministerial media announcement with minutes.

Discussion Points:

Nil.

Discussion Points:

Nil.

Discussion Points:

Nil.

Discussion Points:

Nil.

Discussion Points:

Nil.

Discussion Points:

Page 4

A/Dir. of Strategy, Mental Health & Specialised Services WM HHS

Secretariat

Secretariat

Completed. Sent with minutes 30.8.13

Completed. Sent with minutes 30.8.13

54

JKR.900.001.0081EXHIBIT 72

's Hea

8.1 YPARC Model

8.2 Sites

Health ice

• A recent site visit was conducted to Victoria to review the YPARC model of service and other contemporary models within the continuum of care for adolescent ET &R

• A brief description of the Y-PARC model will be disseminated with the minutes.

• A full report of the Victorian Site visits will be finalised today and forwarded to the CHO CE and recommendations and findings discussed with the group at the next meeting.

The Department of Health is negotiating with the CE's of CHO, WM HHS and Metro South for an interim site for a bed based facility in Logan. Decisions re: governance and finances need to be decided at chief executive level. This group is not involved in influencing this interim lannin .

Secretariat Completed. Sent with minutes 30.8.13

Remove.

:,,~V" ;t. >< "'~ i'~~ :v ~";;f~:"""h";f'"' ~~ :~~;;< : c~'*"'.<" "<~%Ye;, & "' "'"" ~ }c '":;:;; 'f *tlt;~~:'Y:' ./- ;" ~r~ t~,..0: < ",. "~,,, .,, " ~"' :;,, > " "'" r ; ~" ~ ~

r Ne,t.~eeting I Segtemtier 20?.l,78.~D-: ~l}arrt DM~EIS Sgr;~g~ElfU~: :~ .. ·v ; ) ·, • •• •• ••••• • •

0

••• • • • • • • • • •• ~; jcV "' ~j ~ Y'< ,;( M ;<: y~/C "~ "'-'<0"'~"'1(%E;; >Yf ~ ;-~{">~ _,;vJ'"'-5 z. ":r > "9 ,;.\; ~ :) J

ENDORSED BY:


Name: Position:

Page 4 4

JKR.900.001.0082EXHIBIT 72

's H ns nd Hos Hea Service


Date: 9 September 2013

Time: 8.30am - 10am

Venue: Rm 30, CYMHS Cnr Roger & Water Streets Spring Hill {parking via Roger St entrance)


A/Chair:

A/Secretariat:

Attendees:

T/C

Apologies:

•-- .. - -111 V '"""'"1

Dr Leanne Geppert

Jaimee Keating

Ing rid Adamson

Dr Trevor Sadler

Josie Sorban

Deborah Miller

Paul Letters

Amanda Tilse

Marie Kelly

Judi Krause (Co-chair)

Dr Stephen Stathis (Co-chair)

Richard Nelson

1. Presentations

Item no Item

1.0

2. Meeting Opening

Item no Item

Welcome and Apologies



ESO, CYMHS CHQ HHS

SW AETR Project Manager

• Director Barrett Adolescent Centre, The Park Centre for MH

Director of Psychology, CHO HHS



A/Divisional Director CYMHS CHQ HHS





Queensland Alliance

Time

Time

Action Officer

Action Officer

Chair

Chair

2.1

2.2

2.3

2.4

Confirmation of the minutes from the previous meeting 26/8/13 (attached)


Chair

Chair

Page 2

JKR.900.001.0083EXHIBIT 72

H Ith een Ian Hos


Item no Item

4.2 TOR - for endorsement (attached)

Draft Action Plan - see Item 4. 3 4.3

4.4 Working Group Membership & Objectives (attached)


Item no Item

4.1 Draft Project Monthly Status report - for consideration (attached)

4.2 Draft Action Plan - for endorsement (attached)


Item no Item

5.1 Project Plan (will be available at the meeting)


Item no Item

6.1 Service Options Working Group update

6.2 BAC Consumer Transition Working Group update

6.3 Financial and Workforce Planning Working group update

6.4 Risk Management

6.5 Progress of key milestones and deliverables.

6.6 Other business


Item no Item

7.1 Major correspondence - Discuss single point of responsibility for correspondence.

7.2 Minutes of Working Groups - nil.


Item no Item

8.1

Date:

Time:

Venue:

Next Meeting

23 September 2013

8.30am - 1 Oam

Room 30 CYMHS Spring Hill.

Page 2

Time Action Officer

Group

Chair

Group

Time Action Officer

Chair

Time Action Officer

Chair

Time Action Officer

Time Action Officer

Chair

Time Action Officer

JKR.900.001.0084EXHIBIT 72

H n Hos Hea ic

Minutes State-wide Adolescent Extended Treatment and

Rehabilitation Implementation Strategy

08:30

A/Chair: NDirector of Strategy, Mental Health & Specialised Services WM HHS (LG)

A/Secretariat: ESO CYMHS (JCK)

Attendees Director Barrett Adolescent Centre, The Park Centre for MH (TS)

Director of Psychology, CHQ HHS (JS)


NDirector & Partr1.s1sh Unit MHAODB


SW AETR Project Manager (IA)

NDivisional Director CYMHS CHO HHS (PL)

Clinical Services Program Manager Child & Youth Academic Clinical Unit Metro South Addiction and Mental Health Service (RH)

Apologies NExecutive Director Office of Strategy Management, CHO (OM)

Queensland Alliance (RN)

Divisional Director CYMHS CHO HHS (JK)

Clinical Director CYMHS CHQ HHS (SS)

Observers/ Nil Guests:

2.1

2.2

2.3 2.4

Welcome and apologies • Welcomed Ingrid Adamson, Project Manager

CHO HHS to group.

• The WM HHS Project Officer will be appointed short! and will attend future meetin s.

Statement of ConflicUlnterest

Confirmation of Minutes Statement of achievements

Business


3.1 Committee TOR Discussion Points:

Nil.

Confirmed Nil.

• Discussed change to 4. Frequency of Meetings Make changes to TOR as discussed.

l.Jar·t"'ri--n-:i1"11"'0 and Reporting to Endorse out of session.

Page

Chair

PL

LG

LG

23/09

23/09

I I

JKR.900.001.0085EXHIBIT 72

Health eensta d ice

Item No Topic Action Committee Due member date

• TS to follow up on Consumer rep for Steering Follow up consumer TS 23/09 Committee rep for membership

Recommendation: Update and send for 'out-of-session' endorsement

3.2 Draft Action Plan - carried over - see item 4.2 below

3.3 Working Group Membership and Objectives Draft membership listing tabled for discussion.

Discussion Points:

• No feedback received regarding draft Working Group membership.

• Group discussed and acknowledged the need for a balance of Steering Committee representation on Working Groups.

WG 1 Service Options Implementation

• Discussion re DETE representation on WG . Invite DETE WG LG

DETE have established a WG and have member to share

indicated that they will work with DoH and will information at a develop a model to suit our recommendations. future meeting. Committee agreed to invite a DETE W.G. member to a future meeting to exchange information on service option developments when further work has progressed (and prior to service model endorsement).

• LG to liaise with Janet Martin, WG 1 Chair, to Contact each WG LG 23/09

establish membership (for approval via this group Chair to establish

-out of session) and convene meeting within the membership and

week. Membership to include a Consumer rep convene meetings

and Carer rep and remove JK. within the fortnight.

• WG is to base service option development on ECRG recommendations, site visits and NMHPF - LG clarified the WG would not be starting over but rather building on what has been developed/defined to date.

• Discussed relevance of contract management and contestability for the Service Options Identify most suitable MK

Implementation Strategy. Committee would contact to provide

benefit from a presentation regarding presentation

contestability at a later date - MK suggested someone from the Health Renewal Portfolio Office.

• Discussion held re: recommending models. This group should determine the best service model for adolescents needs, even if there is no capital to support recommendations at this point in time. The WG should not limit recommendations based on bed availability but rather on target group needs, contemporary and endorsed service 111uuc:1;:, and best p1 c:1t;u1,;t:::

Page 2 of

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WG 2 BA C Consumer Transition

• TS queried what is happening with the Logan Hospital consideration. LG advised that this is in the remit of the CE DoH Oversight Committee to decide. This Steering Committee will (for the interim) focus on service options and broader geographical locations, not on the particulars about specific sites.

• LG clarified that this WG is chartered with guiding and overseeing the progress of safe consumer transition planning. This includes ensuring a strong and clear communication plan. It is not the role of the Steering Committee to develop individual consumer discharge/transition plans.

• TS raised the need for good communication between this WG and the BAC team reviewing Invite ON LG 23/09

wait lists - recommended that there is a need to membership

engage with Dr Darren Neillie NDir of Clinical Service WM HHS in the WG.

WG 3 Financial & Workforce Planning

• TS raised BAC staff transition. LG advised that BAC staff (excl. DETE staff- this will be decided by DETE) will not be automatically relocated but rather will participate in the normal DoH HR processes. Details regarding transition will be defined through this WG.

• TS raised the risk of losing qualified and experienced staff which was noted by the Committee.

• HR advice and communication to WM HHS staff is a priority for this WG.

Recommendation: • LG to contact each WG chair to establish

membership and convene meetings within the fortnight.

• Invite DETE rep to future meetings prior to recommended model being endorsed at this group.

• LG to contact Darren Neillie to determine communication channels between groups


4.1 Project Monthly Status Report - for consideration Draft tabled.

Discussion Points:

• The Project Manager and Officer will update the Update monthly for IA&WM status report on a iT1vr 1d dy basis committee HHS P.O.

~t;\,VI 1111 ICI .Jation.

Page 6

60

JKR.900.001.0087EXHIBIT 72

H eens Hos Hea ice


• A Project Status Report will be tabled for the committee on a month! basis.

4.2 Committee Action Plan Draft tabled

Discussion Points:

• Planning and Definition Stage is near completion

• Execution Stage the outputs from this stage will be recommended to the CE DoH Oversight Committee for endorsement.

• To maintain communication linkages, SS and DM IA to liaise with IA 23/09 will sit on both the SW AETR Steering Oversight committee Committee and the CE DoH Oversight re communication Committee. process for

actions/decisions to this Steering Committee.

• Key priority areas are finalisation of the Project Finalise Project Plan, IA 23/09 Plan and development of a Communication Plan and develop Risk

and Risk Register. Register & Comms Plan

• Approval to share Victorian site visit report will be Seek approval from IA 23/09

sort from CHO CE. CHO CE to disseminate Victorian Site Visit Report.

• Steering Committee to provide changes/ feedback to LG within 24hrs. If no feedback Send LG feedback Steering 10/09

received, LG will consider plan to be approved on action plan Committee

and ready for submission to the CE DoH Oversight Committee for endorsement.

Recommendation: • Approve draft Steering Committee Action Plan .

Submit Action Plan to oversight committee for endorsement.


5.1 Project Plan Draft Project Plan tabled - time restrictions Draft Project Plan IA TBC prohibited this plan being discussed during the will be disseminated meeting. to Committee out-of-

session (not for Discussion Points: further distribution)

•

Recommendation: • Send draft project plan to Committee for review .

I

I Discussion Points:

Page 4 of 6

61

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's Hea eensla nd I and Hea Service

Item No Topic

Recommendation:

6.2 BAC Consumer Transition Working Group Update

Discussion Points:

Recommendation:

6.3 Financial and Workforce Planning Working Group Update

Discussion Points:

Recommendation:

6.4 Risk Management

Discussion Points:

Recommendation:


Discussion Points:

Recommendation:

6.6 Other Business

Discussion Points:

Recommendation:

7.1 Correspondence Discussion

Discussion Points: • To date WM HHS has taken the responsibility of

responding to correspondence. WM HHS has developed resources (fact sheets/ website) to assist in responding to correspondence.

• LG proposed revisiting which HHS will be single point of contact for all correspondence - WM or CHQ

• Decision to be referred to CE CHQ HHS.

Recommendation:

Page 5 6

Action

Nil.

Nil.

Nil.

Nil.

I Nil.

Seek direction from CE CHQ HHS.

Committee Due member date

IA 23/09

62

JKR.900.001.0089EXHIBIT 72

Health

ENDORSED BY:

Signature:

Name: Position:

s nd Hea Service

Date: /09/13

Page 6 6

63

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I

Ch ren's H stand Hea Service


Date: 23 September 2013

Time: 1 8.30am - 10am

Venue: Rm 30, CYMHS Cnr Roger & Water Streets Spring Hill (parking via Roger St entrance)


A/Chair:

Secretariat:

Attendees:

Apologies:

Observers I Guests:

Dr Leanne Geppert

Ingrid Adamson

Deborah Miller

Paul Letters

Josie Sorban

Elisabeth Hoehn

Marie Kelly

Amanda Tilse

Richard Nelson

Judi Krause (Co-chair)

Dr Stephen Stathis (Co-chair)

Raymond Ho


SW AETR Project Manager


A/Divisional Director CYMHS CHQ HHS

Director of Psychology, CHQ HHS


A/Clinical Director CYMHS CHQ HHS



Queensland Alliance



Clinical Services Program Manager, Metro South Addiction and Mental Health Service

papers tabled if available

1. Presentations

Item no Item

1.0 Nil

2. Meeting Opening

Item no Item


2.2

2.3

2.4


Confirmation of the minutes from the


meeting 09/09/13 (attached)

Page of

Action Officer

Action Officer

Chair

Chair

Chair

Chair

JKR.900.001.0091EXHIBIT 72

i!dren's H n d Hos

3.

Item no

3.1

3.2

3.3

Business Arising from previous minutes

Item

Working Group Membership

Committee Action Plan

Draft Project Plan

Service

3.4 Single point of responsibility for correspondence decision

4. Item no

4.1

4.2

5.

Matters for Decision

Item

Steering Committee Terms of Reference

Working Groups Terms of Reference

Matters for Discussion

Item Item no

5.1 Chief Executive and Department of Health (CE DoH) Oversight Committee Terms or Reference

5.2 Barrett Centre Update

6. :Standard Agenda Items

Item no Item

6.1 Service Options Working Group Update • Memo sent to CEs of Mental Health Clusters seeking nomination of

representative

• Service Options Overview

6.2 BAC Consumer Transition Working Group Update


6.4 Risk Management Risk register commenced - requires input from Working Groups


6.6 Other business


Item no Item

7 .1 Major correspondence

8. For lnfor~ation (papers only)

Item no Item

8.1 Victoria Site Visit Report (refer attached)

Next Meeting

Date: Wednesday gth October 2013

Time: 8.30am - 10am

Venue: Room 30 CYMHS Hill.

Page 2 3

Action Officer

Chair

Chair

IA

Chair

Action Officer

Chair

Chair

Action Officer

Chair

Chair

Action Officer

Chair

IA

Action Officer

Action Officer

Chair

JKR.900.001.0092EXHIBIT 72

n· H nstand Hospital and Hea Servi

Meeting Action Previous Meeting Date Item..# Reference :'.Actian 'Item Action Offfoer Due Date

26/08/13 4.2 Committee TOR Include changes to purpose; authority; membership; and meeting Leanne Geppert 09/09/13 dates

26/08/13 4.4 Working Group Include Carer/Consumer Reps on Service Options and Consumer I Leanne Geppert I 09/09/13 I Completed Membership Transition Working Groups

26/08/13 4.4 I Working Group Circulate hard copy of ECRG Recommendations I Leanne Geppert I 09/09/13 I Completed Membership

26/08/13 8.1 YPARC Model Disseminate Victorian Site Visit Report Leanne Geppert 09/09/13 Completed

09/09/13 3.1 Committee TOR Circulate final version for out of session endorsement Leanne Geppert 23/09/13

09/09/13 3.1 I Committee TOR I Identify consumer representative for Steering Committee Trevor I 23/09/13

09/09/13 3.3 I Working Group Invite DETE WG representative to future steering committee Leanne Geppert TBC Membership meeting for information exchange

09/09/13 3.3 I Working Group Contact each working group to establish membership and I Leanne Geppert I 23/09/13 Membership convene meetings

09/09/13 I 3.3 I Working Group Invite Darren Neillie (wait list team) membership to WG 2 I Leanne Geppert 23/09/13 Membership

09/09/13 I 4.2 I Committee Action Finalise Project Plan and develop Risk Register and Plan Ingrid Adamson TBC Work Plan commenced

3 4.2 I Committee Action Submit feedback to LG Steering Committee 10/09/13 Completed Plan

3 4.2 I Committee Action Submit Action Plan to CE DoH Oversight Committee for I Ingrid Adamson ! 18/10/13 Plan endorsement

Page 3 of 3

JKR.900.001.0093EXHIBIT 72

I I

H la Hos

Minutes State-wide Adolescent Extended Treatment and

Rehabilitation Implementation Strategy

23/09/2013 08:30

-

Rm30cYiV1HscnrRo9ers&water:streets: . . . .... ?Prir19 ... tJ111 .................................................................................................................................................................. .

A/Chair: A/Director of Strategy, Mental Health & Specialised Services WM HHS (LG)


Attendees SW AETR Project Officer (LJ)

A/Executive Director Office of Strategy Management, CHO (DM)



A/Divisional Director CYMHS CHO HHS (PL)


Nurse Unit Manager, Mental Health, Metro South HHS (JB)

A/Clinical Director CYMHS (EH)

Cont Call A/Director Planning & Partnership Unit MHAODB (MK)

Apologies Divisional Director CYMHS CHO HHS (JK)



Queensland Alliance (RN)


2.1 Welcome and Apologies Chair

• Welcomed Laura Johnston, SW AETR Project Officer, WM HHS

2.2 Statement of Conflict/Interest Nil

2.3 Confirmation of Minutes Confirmed 2.4 Statement of achievements Covered below Chair

Business


3.1 Working Group Membership and Objectives

Working Group 1 - Service Options

• Went through proposed membership - still need a consumer representative.

• EH suggested the a representative could be EH to source a EH 27/09 sought from Beautiful Minds consumer

• AT will also have a talk to people at the Mater to representative

source a representative

• AT raised that Mater did not have a

Page 1 of 6

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i!dren's H eensland Hos Hea Service


representative on WG1. LG agreed to their AT to source a Mater AT 27109 participation. Amanda suggested a day unit representative. representative

• Committee agreed to progress with a meeting of WG1 irrespective of an identified NGO representative.

• LG advised that the intent to bring the WG1 together as a half day workshop rather than a 1 hr fortnightly meeting to expedite work. She advised that, in light of recent events at the Barrett Centre, it is important to progress quickly. The Committee supports this approach.

Working Group 2 BAC Transition

• Anne Brennan is going to chair this group

• Currently there has been no decision made regarding transition of consumers. Any decision regarding the reduction in bed numbers and taking no further admissions will impact on the work this WG undertakes. No decision had been made at the time of this meeting.

• The BAC Team have started the process of looking at consumer care plans for the future based on individual clinical care needs.

• LG has suggested that this WG adopt an approach similar to that of a Complex Needs Panel (involving DETE, Housing, Communities and CYMHS clinical staff) specific to the individual.

• Committee agreed to change the name of the WG to BAC Transition Panel

• Terms of Reference - raised an issue with confidentiality of consumer identity (specifically in Status Reports, Plans and Risk Management). LG confirmed that any reporting will not identify individuals - this is not about clinical risk to the consumer but rather risks of the initiative, e.g. reduction in bed numbers will create pressure on other service options, etc.

• LG proposed to change the Panel membership to include BAC staff in the first instance and to involve other HHS representatives where they are involved in the treatment of a specific individual. The Committee supported this change.

• LG also advised that she spoke to Darren Nellie (from the Wait List Team) and he has agreed to participate on the Panel, as required.

Working Group 3 - Financial & Workforce Planning

• Branch representatives are still required . Branch reps to be LG 27109 identified

• Also revisiting the Chair for this WG Chair to be LG 27/09 confirmed

• OM identified the need for a HR representative Confirm CHO HR IA 27/09 from CHO HHS. representative

• Nursing leads from WM HHS are also to be Confirm WM HHS LG and IA 27/09 identified. DM suqqested we may also need

Page 2

68

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i!d 's Hea eensla ! and Hea Service


nursing leads from CHO HHS. and CHO Nursing Lead representatives

Recommendation:

• EH and AT to identify representatives for WG1

• WG1 to meet in a series of half day workshops • WG2 renamed to BAC Consumer Transition

Panel

• WG2 membership altered to include BAC Staff only - HHS representatives will be involved on an 'as needs' basis.

• WG3 representatives still required - LG and IA to identify representatives within MHAODB and CHO respectively

3.2 Committee Action Plan

• No feedback received so Action Plan is Incorporate into IA 09/10 considered endorsed. This will now be Project Plan incorporated into Project Plan.

3.3 Project Plan

• Project Plan, Risk Register, and Communications Finalise Project Plan IA 09/10 Plan are still under development.

• Draft Project Plan will be circulated to Committee members before the next meeting


• Committee was advised that WM HHS will retain LG to speak with LD LG 09/10 responsibility of correspondence until SW AETR regarding transition to CHO HHS. LG still to speak with correspondence Lesley Dwyer to confirm this position. position


4.1 Steering Committee Terms of Reference

• DM confirmed the role of this Committee is to endorse and recommend options to the Oversight Committee (for decision making). The ToR have been adjusted to reflect this. Committee supported changes made and the ToR are now finalised.

• The identified Consumer Representative has since advised that they are unable to participate on Committee.

• Committee asked for suggestions for a replacement consumer representative. EH PL to advise of PL 09/10

advised that CHO has a parent group in Beautiful consumer rep for

Minds. PL will speak with Sophie or Tamara Committee

about whether the could recommend someone. 4.2 Working Groups Terms of Reference

Working Group 1

• Functions Dot Point 4: LG recommended change Update TOR IA 25109 to Develop an options paper for the Governance

Page of 6

69

JKR.900.001.0096EXHIBIT 72

I

ldren's H lth ns d Hos I and Hea ice

Item No Topic

Working Group 3

• Functions Dot Point 1: EH asked whether the Workforce Strategy will impact DETE staff - ToR to note it excludes DETE staff although ongoing liaison and communication with DETE will occur.

• LG has spoken with Peter Blatch, from DETE . He has advised that he is not aware of any working group being established and that there should be no working group for DETE. He is happy for a DETE representative to attend the Steering Committee once a service options model has been developed - they will then develop their DETE models in synergy with the agreed model of service. They continue to be committed to being part of ongoing discussions.

• Nil other comments


5.1 Chief Executive and Department of Health (CE DoH) Oversight Committee Terms or Reference • queried whether it was necessary for the

Chair to appoint a Proxy in his absence. DM advised that the Proxy would most likely be Lesley Dwyer in all instances.

• LG advised that Lesley Dwyer thought the DOG would be chair. DM will confirm with DOG.

• LG queried whether bi-monthly meetings were frequent enough and whether the Oversight Committee meetings could be added onto the back of CE meetings. DM will speak with the DDG's office to see what frequency will work best.

• LG raised that Lesley Dwyer thought a CE from North Qld should also be included in the membership - CHQ will approach the CE Townsville HHS

• Nil other comments

5.2 Barrett Centre Update • LG confirmed that EH is standing in for TS while

an investigation is underway.

• EH advised that the current focus is on ensuring continuity of care for consumers.

• Most communication undertaken in the past few weeks has been face-to-face or via phone with consumers, families, and staff.

• Another BAC Fact Sheet is due for publication soon.


6.1 Service Options WG Update • LG advised that a memo was sent to CEs of

Mental Health Clusters seeking nomination of representatives, which have now been received.

• LG took the committee through the Service Options Overview.

• Committee agreed the arrows in the diagram

Page 4


Update TOR IA 25/09

DM to confirm DDG DM 27/09 as chair

DM to confirm DM 27/09 frequency of meetings with DDG office

CHQ to approach IA 27/09 Townsville HHS CE re Committee membership

JKR.900.001.0097EXHIBIT 72

tdren's Hea s nd Hos Hea Ser.;ice


need to be two way.

• LG advised that IMYOS is similar to our Mobile Intensive Treatment Teams (MITT) Streams however Qld doesn't currently have anything similar for Adolescents.

• LG also advised that Day Units work well in Qld and that we need more of them.

• LG advised that Resi Rehab is like the Therapeutic Residential Service (in Goodna, etc) however consumers need to be in the Child Safety stream to access that service.

• Discussed that Tier 2b could potentially be a residential-only model (focused on life skills building toward independent living) with no therapeutic service. This model doesn't necessarily need intensive in-reach from CYMHS but rather a focus on teaching adolescents how to access services they need from the community.

• LG also advised that components of the YPARC model are useful but not wholly suited to a statewide approach. It also targets a different age group.

• Committee commented that a statewide policy is needed on the Target Group.

• Further discussion is also needed regarding length of stay.

• IA raised the importance of showing the linkages with adult and paediatric MH - EH confirmed this was important particularly as consumers reach 18yo.

LG to provide data LG 27109 • JB asked ifthere was data on current BAC

on current BAC consumers that could be shared with the Committee. LG is progressing this with WM HHS

consumers

following a request from CHQ HHS Board Chair.

Recommendation:

6.2 BAC Consumer Transition Panel Update

Discussion Points: Nil

Recommendation:

6.3 Financial and Workforce Planning WG Update


I Recommendation:

6.4 Risk Management

Discussion Points: • IA advised that the Risk Register is under

development however requires input from Working Groups before it can be finalised.

Recommendation:

Page 5

71

JKR.900.001.0098EXHIBIT 72

ld H ee d Hos Hea ice

Item No Topic Action



Recommendation:

6.6 Other Business Nil

8.1 Victoria Site Visit Report circulated to the Committee Noted with the meeting agenda.


,·:·1~ejl ·~'l!ne ~~~~~s1a1~'1~}m~1otfeff:ID~B, ~~aJD.~:~o.~o!~;·~l'tfl-~.j~nrin• Miii. ·, · . " . : ;1 "'"'" """"l ¢'.t"'~""'""z""""""'°~""""ifii ;if)i,,.;:1;:;«<,,,~:;t;l'.".;oo.~="''"'&""""d""'""t """'""''/;;,~"~" '~"'"~~w""~"'"°";t:t.,.,M~~ ".,if'~* 1',.,i[,~;:;.,.,~.,.. '''""'~ "' v

ENDORSED BY:


Name: Position:

Page 6

JKR.900.001.0099EXHIBIT 72

Ch ren's H ee s d Hos Service


Date: 09 October 2013

Time: 9am - 10.30am

Venue: Room 30, CYMHS Cnr Roger & Water Streets Spring Hill (parking via Roger St entrance)


I A/Chair: Dr Leanne Geppert A/Director of Strategy, Mental Health & Specialised Services, WM HHS !

Judi Krause (Co-chair) Divisional Director CYMHS CHO HHS

I Dr Stephen Stathis (Co-chair) Clinical Director CYMHS CHO HHS

Secretariat: Ingrid Adamson SW AETR Project Manager

Attendees: Deborah Miller A/Executive Director Office of Strategy Management, CHO HHS

Paul Letters A/Divisional Director CYMHS CHO HHS

Josie Serban Director of Psychology, CHO HHS

Elisabeth Hoehn A/Clinical Director CYMHS CHO HHS






Consumer

Apologies:

Observers I Guests:

Attachments

1. Presentations

Item no Item Action Officer

1.0 Nil

Page 1 of 5

JKR.900.001.0100EXHIBIT 72

ren's H n d Serv

2. Meeting Opening

Item no Item



2.3 Confirmation of the minutes from the previous meeting 23/09/13 (attached)



Item no Item

3.1 Working Group Membership - update

3.2 Draft Project Plan - update



Item no Item

4.1 Timing of future Steering Committee Meetings, proposing: 9am to 10.30am

4.2 Amendment of ECRG Target Group definition to include Alcohol and Other Drugs


Item no Item

5.1 Victorian Contacts for Queensland visit

5.2 Communications Strategy


Item no Item


• Update on Service Options Forum held 1st October


6.2 BAC Consumer Transition Panel Update


• 6.4 Risk Management


• 6.6 Other business


Item no Item

7 .1 Major correspondence Barrett Adolescents Centre Fast Fact Sheets No. 6 and 7

7.2 Upcoming Meetings Meeting of the CE and of Health 1H 100r 1r""1 of the CHO HHS Board on 31st October

Page 2 5

Action Officer

Chair

Chair

Chair

Chair

Action Officer

Chair

IA

Chair

Action Officer

Chair

Chair

Action Officer

Chair

Chair

Acti.on Officer

Chair

Action Officer

Chair

IA IA

JKR.900.001.0101EXHIBIT 72

ren's H n land Hos


Item no Item

8.1

Date:

Time:

Next Meeting

Monday 21st October 2013

9am - 10.30am

Ser.; ice

Venue: Room 30, CYMHS Cnr Roger & Water Streets Spring Hill

Page 3 of 5

Action Officer

JKR.900.001.0102EXHIBIT 72

ildren's Health eenstand Hosoital and Health Service

,/~r~yio·.~s ··M~eting Reference

09/09/13 I 3.1 I Committee TOR I Identify consumer representative for Steering Committee I Paul Letters I 09/10/13 I Completed - A consumer representative will be joining the Committee from 9/10/13

I I I 09/09/13 3.3 I Working Group Contact each working group to establish membership and J Leanne Geppert I 23/09/13 I Underway

Membership convene meetings

09/09/13 I 4.2 I Committee Finalise Project Plan and develop Risk Register and Comms Ingrid Adamson TBC Work has Action Plan Plan commenced

09/09/13 4.2 Committee Submit Action Plan to CE DoH Oversight Committee for Ingrid Adamson 18/10/13 To be incorporated Action Plan endorsement into Project Plan

23/09/13 I 3.1 I Working Group Identify consumer representative for the Service Options Elisabeth Hoehn 27/09/13 Completed - A Membership Working Group consumer

representative has been identified

23/09/13 3.1 I Working Group Identify a Mater Hospital Representative for the Service I Amanda Tilse I 27/09/13 I Completed Membership Options Working Group

23/09/13 3.1 I Working Group Identify MHAODB representatives - speak to Marie Kelly and Leanne Geppert I 27/09/13 Membership Ruth Catchpoole for the Financial and Workforce Planning

Work in Grou 23/09/13 3.1 I Working Group Confirm Chair for Financial and Workforce Planning Working Leanne Geppert 27/09/13

Membership Group

23/09/13 I 3.1 I Working Group Identify CHO HHS HR representative Ingrid Adamson I 27/09/13 I Completed Membership

23/09/13 3.1 I Working Group Identify CHQ HHS nursing lead representative Ingrid Adamson 27/09/13 I Will be identified week Membership commencing Sth Oct.

23109113 I 3.1 I Working Group Identify WM HHS nursing lead representative Leanne Geppert 27/09/13

Page 4 of 5

JKR.900.001.0103EXHIBIT 72

23/09/13

23/09/13

23/09/13

ren~s Hea eensLand Hos land Hea Service

3.4

4.2

5.1

5.1

6.1

i:~f~vi~us , ", ... Meeting

Reference Correspondence

Working Group Terms of Reference CE DoH Oversight Committee

CE DoH Oversight Committee

Convey CHO HHS position regarding single point of correspondence to Lesley Dwyer

Update Working Group Terms of Reference

Confirm with DOG the Chair of committee and frequency of meetings

Invite CE Townsville HHS as member

Service Options I Circulate data on current BAG consumers to committee WG Update

Page 5 of 5

Leanne Geppert

Ingrid Adamson

Deb Miller

Ingrid Adamson

Leanne Geppert

25/09/13 I Completed

27/09/13 I Completed - Dr Steer will Chair these meetings

27/09/13 I Completed

27/09/13

JKR.900.001.0104EXHIBIT 72

ild H een land Hea ice


Chair:

Secretariat:

Divisional Director CYMHS CHO HHS (JK)



Attendees A/Director of Strategy, Mental Health & Specialised Services WM HHS (LG)

SW AETR Project Officer (LJ)





A/Director Planning & Partnership Unit MHAODB (MK)



Teleconferenced

Apologies A/Clinical Director CYMHS (EH)


2.3

2.4

3.

3.1


Confirmation of Minutes • Correction made to item 3.1 - changed Minders

Grou to Beautiful Minds Statement of achievements

Business

Business Arising from Previous Meetings

Working Group Membership Update Working Group 1 (WG1) It was decided to convene the group as a half day forum rather than a series of fortnightly meetings. There was good representation from around the state with 16 attendees.

The first session looked at the current state of service delivery across the continuum. The second

Page 7

Nil

Confirmed

Covered below

! I

JS

Chair

JKR.900.001.0105EXHIBIT 72

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part of the forum looked at opportunities along the service continuum.

OM raised the possibility of sending out consumer Email consumer SS 21/10 scenarios to attendees to consider whether the scenarios to WG 1 different cases would fit what has been proposed for representatives for future state. SS agreed that sending out the input scenarios via email would be a good option.

JK raised that the Statewide Advisory Group convenes at the end of the month and queried whether they could be engaged to review the service options.

LG shared concerns regarding scope and Present to the Child SS 31/10 timeframes. Involving a new group at this time may and Youth Statewide impact these timeframes. The benefit of using WG1 Advisory Group participants is that they have the context. It was suggested that a presentation could be made to the Statewide Advisory Group instead.

The forum highlighted that there is potential for greater utilisation of existing mental health services and community-based services. Greater understanding of the services available is also needed. It was agreed that understanding of the full range of mental health services could be improved.

AT raised the importance of keeping communication Issue briefing note to IA 31/10 open and people informed. JK said she receives Mental Health enquiries from the Mental Health Cluster and feels a Cluster re forward one page briefing note update would be worthwhile. direction when JK suggested getting the briefing note out as soon strategy in place as possible.

LG also raised the importance of CHO developing a communication strategy for the statewide initiative. IA confirmed CHO have a meeting with their Media and Communications team tomorrow to progress.

SS asked how we could also best reach consumers Establish web page IA 31/10 and carer. AT raised putting it on the CHO site. OM for Initiative confirmed that this could be done and would be looked at with the CHO Media and Communications team.

IA also confirmed that she is meeting a consumer Meet with consumer IA 10/10 representative tomorrow for potential participation on representative WG1

Working Group 2 LG confirmed that this working group has been converted to a Clinical Care Panel. They will report status, risks and issues to the Steering Committee. This is a WM HHS driven panel. EH and LJ are the conduits to the Steering Committee from the Panel. They will commence work next week.

Page 2 7

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When the A/Clinical Director, BAC, started, she reviewed every consumer's current individual needs, so work has already commenced in this space.

A concern raised at the last meeting was that of putting pressure on other service areas. LG confirmed that this hasn't eventuated at this stage and status updates will be provided.

LG confirmed that there have been no further admissions to BAC and that the wait list is currently being addressed. It was decided that further admissions would not be in the best interests of current consumers. It was noted that this decision has not been externally communicated at this stage.

A community and staff factsheet have been released and advise that the BAC building will be closed by the end of January. It was agreed to advise of this decision as there was continuing distress and concern over not knowing when the facility would close. WM HHS has been clear that this is a flexible date dependent upon the needs of current consumers.

JS asked if it is known across the state that BAC is Brief re current BAC LG 18/10 not taking on more consumers. JK asked whether position to M H there should be a communication to the CYMHS Cluster and CEs sector. asked if families on the waitlist know as yet. LG confirmed this decision has not been communicated more broadly than BAC at this stage. JK recommended a brief be sent to MH Cluster and CEs advising of the current position regarding BAC closure and "no further admissions".

LG advised that waitlist consumers stay with their respective HHS until taken on by BAC; however, they have found that, in some cases, either the HHS is discharging the consumer as soon as they are placed on the waitlist or that the family has disengaged from services and are assuming a "holding pattern" waiting for a place in BAC.

AT asked if we are announcing a replacement service from 1st February 2014. JK advised there will be no one singular replacement service but rather a range of services, which we are incrementally working toward. LG advised that there will be additional service options; however, there won't be a bed based option in the short term - this is not possible to deliver in the next 3 months.

For current consumers at BAC, WM HHS will utilise operational funds to support consumers in their home/community until extended service options are in place. JK asked about consumers on the waitlist - it was confirmed that the panel would review the waitlist and provide wrap around services where required. It was agreed that this needed to be

Page 7

80

JKR.900.001.0107EXHIBIT 72

ldren·s H een land Hea Service


communicated to those families and staff by the Clinical Care Panel.

LG noted that some bed-based care is needed; however, not as currently provided at BAC, e.g. 15 beds, 2 years stay. LG also noted that some participants in WG1 queried whether a bed-based option was needed at all. The WG1 forum did raise the need for a multi-disciplinary statewide panel to assess consumer needs to look at a range of options for consumers in the area. JK raised whether this fits in with Complex Care Coordination, being a similar concept. Other options proposed by WG 1 were coordination roles, more Day Program Units, and mobile outreach services.

JS commented that the way in which the waitlist is managed now is like a prototype for how services will be provided going forward - it would seem to be the structure that is underway.

LG asked if a statewide panel should be established immediately. JS suggested that the current Consumer Care Panels being created to address the waitlist would identify commonalities, risks and issues that would help inform a statewide panel. It was broadly agreed to hold off announcing a single statewide panel until wait list consumer care panels could be observed further.

asked how many consumers on the waitlist. LJ advised that the current number on the BAC wait list is between 10 and 20. (On 8110113 it was confirmed that there are 8 consumers on the waitlist.)

Working Group 3 WG3 will address workforce and financial implications of the initiative. There is a hold up on the establishment of this WG. LG advised that the membership has been elevated to a higher level of representation, so changes are being made. WM HHS has asked their Chief Financial Officer and Executive Director of Workforce to look at the Terms of Reference.

Recommendation:

• JK proposes a presentation to the Child and Youth Statewide Advisory Group. SS agreed to provide the update to the group.

• JK also proposed that a one page brief be sent to MH Clusters advising of the current position regarding BAC closure and "no further admissions". It was also recommended to communicate that there will be service options post January 2014, although a bed-based replacement will not be immediately available.

• JK recommended an email from Sharon Kelly to -....! - --CIUv 1.;:>11 I~ CIUI I 11.:>.;;>fUI I::>

Page 4 7

81

JKR.900.001.0108EXHIBIT 72

itdren's Hea eens!a nd Health Service


3.2 1 Project Plan

• Project Plan, Risk Register, and Communications Finalise Project Plan IA 21/10 Plan are still under development.

• Draft Project Plan will be circulated to Committee members for the next meeting

3.4 Single point of responsibility for correspondence

• Correspondence has slowed down and is of similar content to what has been received to date. A variety of mechanisms have been used to communicate with community members. Most people sending through correspondence are past or present users of BAC services.

• Agreed it made sense for WM HHS to retain correspondence responsibility in regard to BAC.

• Only a small number of families have a significant investment in BAC and this is where most of the concerns are coming from.

• IA queried whether it is possible to communicate what interim wrap around services will "look like".

supported the view that currently it is a little challenging to draw the dots regarding service care. Consumers/carers learn what to expect in ED and Acute but when they get into extended rehabilitation, the services options are relatively unknown so, when there is a change of service, it is unclear where consumers go from there.noted that it is difficult to know how much information to share while respecting confidentiality and without divulging too much so as to cause further confusion. noted that it was really positive to hear that the Clinical Care Panel was working with consumers and carers in assessing consumer need - it is imperative as individual care plans are so important.

• felt that some information is better than none at all. She queried how consumers and families could find information. Aside from the BAC site, additional information and communication is needed.

• It was noted that people accessing acute mental health services need more information, as do the staff that manage those services.

• JK agreed we need to inform the sector, and consider the broader communication strategy, CHQ to finalise IA 21/10

including the message that this is an opportunity communications

to do things better. strategy

Recommendation:

• CHQ to finalise broader communication regarding the statewide service development and approach for the community and consumers/carers in the near future.


4.1 Steering Committee Meetings

• LG proposed moving the timing of future Update committee IA 11/10

meetings to 9am. Committee supported this meeting calendar

chanqe. appointment.

Page 5 of 7

JKR.900.001.0109EXHIBIT 72

itdren's Hea eenstand Health Service

Item No

4.2

5. 5.1

5.2

Topic

I Target Group Definition

• During WG1 Forum, it was suggested that the ECRG Target Group definition be expanded to include Alcohol and Other Drugs.

Recommendation:

• Committee agreed to amend wording with: "that may include co-morbid alcohol and other drug

roblems".

Matters for Discussion

Victorian Contacts for Queensland Visit I • LG advised that she has been in touch with,

Sandra Radovini, a Victorian Mental Health contact, who would be happy to come to Old to discuss adolescent mental health services in Victoria. Sandra can come to Queensland in mid-November, which will suit the timing around service options development. It was suggested that she could also speak with target groups such as the Child and Youth Faculty and consumers, families, and carers

• Have started looking at dates (14th or 15th November).

Communications Strategy

• Addressed above

Discussion Points: • Addressed above

Recommendation:

6.2 BAG Consumer Transition Panel Update


Recommendation:

6.3 Financial and Workforce Planning WG Update


Recommendation:

6.4 Risk Management

Discussion Points: • Risk Register is still under development and

requires input from Working Groups before it can be finalised.

Recommendation:

Page 6 of

Action

Update target group definition

Confirm travel dates.

Nil

Nil

Continue register development


IA 11/10

LG 31/10

IA 21/10

JKR.900.001.0110EXHIBIT 72

Item No

6.5

6.6

7. 7.1

H nsla Hos t and Hea Service

Topic

Progress of key milestones and deliverables

Discussion Points:

Recommendation:

Other Business

Matters for Noting

Major correspondence • Barrett Adolescent Centre Fast Fact Sheets No.

6, 7, and 8 have been developed and distributed to consumers and families.

• A BAC Staff Communique has also been develo ed and distributed

8.1 Committee was advised that: • The CE and Department of Health Oversight

Committee will meet on the 17th October • The CHQ HHS Board will meet on the 31st

October. Updates on the SW AETRS will be provided to both groups.

ENDORSED BY:


Name: Position:

Page 7 of 7

Action Committee member

Nil

Nil

I I

Circulate copies of IA the BAC Fast Fact Sheets to Committee Members

Due date

I

21/10

JKR.900.001.0111EXHIBIT 72

Ch H n tand Hea


Date:

Time:

Venue:

Video/

I Teleconference Details:

Chair:

Secretariat:

Attendees:

1 Apologies:

Observers I Guests:

21 October2013

9am - 10.30am



Judi Krause Divisional Director CYMHS CHQ HHS

Stephen Stathis Clinical Director CYMHS CHQ HHS



Deborah Miller A/Executive Director Office of Strategy Management, CHQ HHS

Elisabeth Hoehn A/Clinical Director CYMHS CHQ HHS

Josie Serban Director of Psychology, CHQ HHS







1. Presentations


1.0 Nil

Page of 5

JKR.900.001.0112EXHIBIT 72

ildren's H lth n !a d Hos Hea Service

2. Meeting Opening

Item no Item






Item no Item

3.1 Working Group Membership:

• Service Options Working Group - consumer representative identified


Item no Item

4.1 SW AETR Project Plan


Item no Item

5.1 Presentation from Parent's re Service Options Submission


Item no Item


• Status Update



• Status Update


• Status Update

6.4 Risk Management

• Review Risk Register


• 6.6 Other business


Item no Item



Item no Item

8.1

Page 2 5

Action Officer

Chair

Chair

Chair

Chair

Action Officer

IA

Action Officer

IA

Action Officer

SS

Action Officer

SS

LG

LG I IA

IA

Action Officer

Action Officer

JKR.900.001.0113EXHIBIT 72

Ch

Date:

Time:

Venue:

H d

Next Meeting

Monday 4th November 2013

9am - 10.30am


Page of 5

JKR.900.001.0114EXHIBIT 72

ren· H eenstand Hospital and Health Service

Previ()u~]\lleeting Reference

Working Group Contact each working group to establish membership and I Leanne Geppert I 23/09/13 I Finance and Membership convene meetings Workforce Working

Group yet to convene

09/09/13 I 4.2 Committee Action Finalise Project Plan and develop Risk Register and Comms Ingrid Adamson 21/10/13 With CE Oversight Plan Plan Committee

23/09/13 I 3.1 Working Group Identify MHAODB representatives - speak to Marie Kelly and Leanne Geppert 27/09/13 Completed Membership Ruth Catchpoole for the Financial and Workforce Planning

Working Group

23/09/13 I 3.1 I Working Group Confirm Chair for Financial and Workforce Planning Working I Leanne Geppert I 27/09/13 I Completed Membership Group

23/09/13 I 3.1 I Working Group Identify GHQ HHS nursing lead representative Ingrid Adamson 27 /09/13 I Completed Membership

3.1 I Working Group I identify WM HHS nursing lead representative I Leanne Geppert I 27/09/13 I Completed Membership

3.4 I Correspondence I Convey GHQ HHS position regarding single point of I Leanne Geppert I 09/10/13 I Completed correspondence to Lesley Dwyer

6.1 I Service Options I Circulate data on current BAG consumers to committee Leanne Geppert 27/09/13 Completed - update WG Update circulated with 09/1 O

minutes

09/10/13 I 3.1 I Working Group Email consumer scenarios to WG1 representatives for input Leanne Geppert 21/10/13 Underway Update Stephen Stathis

09/10/13 I 3.1 I Working Group Present to the Child and Youth Statewide Advisory Group at Stephen Stathis I 31/10/13 Update the end of the month

09/10/13 I 3.1 I Working Group Issue briefing note to Mental Health Cluster re forward Ingrid Adamson 31/10/13 I Completed - included Update direction with BAG brief

09/10/13 I 3.1 I Working Group Establish web page for SW AETR Initiative - part of GHQ Ingrid Adamson 31/10/13 Update Communications Strategy

OJ Page 4 of 5

OJ

JKR.900.001.0115EXHIBIT 72

OJ <.O

0/13 I

0/131 0/13

09/10/13 I

09/10/13 09/10/13

ren Hea ee

3.1

3.4 4.1

4.2

5.1 7.1

·"' p· .· ,x""""'"'tii'ti. ·.;, .M· · ·~··<;'· t'•"'" .: · , .reV;•~'J,~' . .,:~~ mg

Reference Working Group Update

I Working Group Update

I Correspondence Steering Committee Meetings

I Target Group Definition

Victorian Visit Correspondence

nd Ho land H Service

Brief re current BAG position to MH Cluster and CEs

CHO to finalise communications strategy Update committee meeting calendar appointments.

Update target group definition

Confirm travel dates with Sandra Radovini

Circulate copies of the BAC Fast Fact Sheets to Committee Members

Page 5 of 5

Ingrid Adamson

Leanne Geppert

Ingrid Adamson Ingrid Adamson

Ingrid Adamson

Leanne Geppert Ingrid Adamson

I 10/10/13 I Completed consumer will be joining Service Options WG

18/10/13 Completed

21/10/13 Underway 11/10/13 Completed

11/10/13 Completed

31/10/13 21/01/13 I Completed

JKR.900.001.0116EXHIBIT 72

re n's een n Health Service


21/10/2013 -~~??~~

Chair:

Secretariat:

Attendees



A/Director of Strategy, Mental Health & Specialised Services WM HHS (LG)


A/Executive Director Office of Strategy Management, CHO (OM)






Teleconferenced A/Director Planning & Partnership Unit MHAODB (MK)

Teleconferenced

Teleconferenced

Apologies Divisional Director CYMHS CHO HHS (JK)



Confirmation of Minutes Statement of achievements Business

3. Business Arising from Previous Meetings 3.1 Working Group Membership Update

Working Group 1 (WG1)

• IA met with a consumer representative who is keen to participate on WG1. This completes membership.

4. Matters for Decision 4.1 SW AETR Project Plan

• noted the project plan was easy to understand and the risk management section covered every base, particularly 2.6.

• No other comments received.

Page of 4

Confirmed Covered below Chair

I

I I

I

90

JKR.900.001.0117EXHIBIT 72

Item No

5. 5.1

6. 6.1

Health Hos land Service

Topic

Recommended

• Endorse project plan

Matters for Discussion Presentation of Parent's Submission

• Noted that parents of current BAC inpatients have been invited to present their submission to the Steering Committee.

• The purpose of the presentation is to provide parents an opportunity to speak to their submission.

• RH asked for a copy of the submission before the presentation.

• noted that will join the Committee meeting after the parent submission. SS suggested that could teleconference in, if preferred.

• noted that is happy to be present

• IA will draft up a consumer engagement framework to provide to parents regarding the format and purpose of the presentation.

• AT asked whether we need to make someone available to debrief with parents after the session due to the emotion associated with this.

• LG suggested that further consideration is needed to determine the most appropriate person.

• EH noted that the parents will present their submission well but it will be important to provide them sufficient time to discuss their concerns.

• AT noted that the Steering Committee also needed to be clear about their role in the presentation.

• LG noted that Lesley Dwyer will formally respond to the parent enquiring about the opportunity to present, and will advise of the next steps.

Recommended

• Parents will present at the next Steering Committee, from 9.15am, for half an hour with time for discussion afterwards.

• Next Committee Meeting is extended half an hour to address standard agenda items after the Parent Presentation.

Standard Agenda Items Service Options WG Update • It was noted that case scenarios have been

circulated to WG1 Representatives for feedback and comment

• The Parent Submission received will contribute to the thinking around service options

• WM HHS are also sending a request for input to parents of consumers on the waitlist.

Service Options Update Brief • noted the lenqth of stay - that rehabilitation

Page 2 of 4

I

Action

Circulate Parent Submission to Committee members

Draft consumer engagement framework

CHQ have put forward Stephen Stathis - supported by Co-Chair

Prepare guidelines for Steering Committee

Present findings from scenario work back to Committee


IA 30/10

IA 25/10

IA 30/10

' l

SS 04/11

91

JKR.900.001.0118EXHIBIT 72

i!dren's Hea eens nd Hea Service


takes time; each consumer is different; and we need to be careful not to enforce strict timeframes on length of stay.

• also noted that after hour support is absolutely vital to families and carers.

• Committee noted that the WG raised the need for services for the 18 to 25 years and that it now needs addressing. More clarity regarding how to transition adolescents into adult mental health services is also needed

• SS noted if we push the age limit up from 17 to 25yo, then we need to advocate for funding for those services. MK agreed, noting Victoria runs services from 16 to 25yo and it is about applying for funding to support services across this age range.

• EH noted that the model could consider some flexibility around age range as it does with length of stay.

• noted a new model could make it easier to transition to adult services.

• RH and both noted that it is not so much about the age as much as it is about the transition to other services. RH notes that the design of the service is important.

Include Adult MH in SS Ongoing • EH notes that adult MH and CYMH need to discuss this topic further. service model

discussions


• Panels are identifying plans for each individual and, although there have been challenges the panels are working through these.

Recommendation:

• Monthly status update for inclusion in the SW Provide status LJ 31/10 AETR Project Status Report update for monthly

report 6.3 Financial and Workforce Planning WG Update

• Good representation across WM and CHO HHS

• This group is meeting tomorrow (22nd) and the majority of people are able to attend

• The group will be reviewing the Terms of Reference

6.4 Risk Management

• Risk Register will be developed from the Project Plan.

• Working Groups are invited to propose risks for inclusion, where needed

• The Committee will be notified of any risks that change in status to high or extreme; or any risks that eventuate


• An update on progress will be provided through Complete Gantt IA 04/11 the Project Gantt Chart at future meetings Chart for next

meeting

Page 3 4

92

JKR.900.001.0119EXHIBIT 72

H Hos

Item No Topic

6.6 Other Business

• Nil 7. Matters for Noting 7.1 Major correspondence

• Nil

Hea Service

Action Committee member

Nil

i I l I

8. For Information : 1 ;

8.1 • It was noted that the dates of 14th and 15th November have been tentatively set for Sandra Radovini's visit from Victoria. More information is to come on this visit.

ENDORSED BY:


Name: Position:

Page 4 4

Due date

JKR.900.001.0120EXHIBIT 72

H nsland Hos Serv


Date: 4 November 2013

Time: 9am 10.30am

Venue: Seminar Room, CYMHS, Cnr Roger and Water Streets Spring Hill (parking via Roger St entrance)

Video/ Details will be provided on request Teleconference

Details: **Please advise secretariat if ~ou want to dial in**

Chair: Judi Krause Divisional Director CYMHS CHQ HHS

Stephen Stathis Clinical Director CYMHS CHQ HHS

Secretariat: Ingrid Adamson SW AETR Project Manager

Attendees:

Deborah Miller A/Executive Director Office of Strategy Management, CHQ HHS

Elisabeth Hoehn A/Clinical Director CYMHS CHQ HHS

Josie Sorban Director of Psychology, CHQ HHS







Apologies: Amanda Tilse Operational Manager Alcohol, other Drugs & Campus, Mater Hospital

Observers I Current BAC Parent, representing Parent Submission Guests: Current BAC Parent, representing Parent Submission


Attachments accompany this papers be tabled if available

1. Presentations

Item no Item

1.0 Parents' Submission (9.30am to 1 Oam)

Page 4

Action Officer

Chair

JKR.900.001.0121EXHIBIT 72

Children's H ns Hos and Service

2. Meeting Opening

Item no Item





3. Business'Arising frompreviousminutes

Item no Item

3.1 • Nil

, 4. Matters for Decision

Item no Item

4.1 • Nil

5> Matters for Discussion

Item no Item

5.1 Visit to NSW Walker and Rivendell Units

5.2 Project staffing allocation post January 2014

6. StandardAgerlda Items·

Item no Item


• Status Update



• Status Update


• Status Update

6.4 Risk Management

• Nil changes to the Risk Register


• Monthly Status Report

6.6 Other business

1~ Matters for Noting

Item no Item

7.1 Major correspondence

• ABC World Today Interview

8. For lnforrl'l~tion (papers only)

Item no Item

8.1 Following discussions with Sandra Radovini, from Victoria, her visit is being scheduled for early December. An agenda for her visit is under development.

Page 2 of 4

Action Officer

Chair

Chair

Chair

Chair

Action Officer

Action Officer

Action Officer

SS I JK

Chair

Action Officer

SS

LG

LG/ IA

IA

IA

Action Officer

SS

Action Officer

LG

JKR.900.001.0122EXHIBIT 72

ildren's H nsland Hos Service

Date:

Time:

Venue:

Next Meeting

Monday 18th November 2013

9am - 10.30am


Page 3 of 4

JKR.900.001.0123EXHIBIT 72

ren's Hea eensLand Hospital and Health Service

~··~·Pt~yi()u~··M~E!Hn91;t1:i' · · Reference··· · " Working Group Contact each working group to establish membership Leanne Geppert 23/09/13 First meeting 22/10/13 Membership and convene meetings - CE Oversight

Committee direction re uired

09/09/13 I 4.2 I Committee Action I Finalise Project Plan; and develop Risk Register and Ingrid Adamson 21/10/13 Project Plan endorsed Plan Comms Plan and Risk Register

developed; Comms Plan still under development

09/10/13 I 3.1 I Working Group Email consumer scenarios to WG1 representatives for Leanne Geppert I 21/10/13 I Completed Update input Stephen Stathis

09/10/13 I 3.1 I Working Group Present to the Child and Youth Statewide Advisory Stephen Stathis I 31/10/13 Update Group at the end of the month

I I 09/10/13 I 3.1 I Working Group Establish web page for SW AETR Initiative - part of I Ingrid Adamson I 31110113

Update CHO Communications Strategy

09/10/13 3.4 Correspondence CHO to finalise communications strategy Ingrid Adamson 21/10/13 Underway

09/10/13 5.1 Victorian Visit Confirm travel dates with Sandra Radovini Leanne Geppert 31/10/13 Underway

21/10/13 5.1 Parent Submission Circulate Parent Submission to Committee Members Ingrid Adamson 30/10/13 Completed

21/10/13 5.1 Parent Submission Circulate consumer engagement framework/Committee Ingrid Adamson 30/10/13 Completed uidelines

21/10/13 6.1 I Service Options I Present findings from Case Scenario responses I Stephen Stathis 04/11 /13 I Underway Working Group

21/10/13 6.2 Clinical Care Panel Provide status update for monthly report Laura Johnston 31/10/13 Completed

21/10/13 6.5 Project Milestones Present completed Gantt Chart Ingrid Adamson 04/11/13 Underway

Page 4 of 4

JKR.900.001.0124EXHIBIT 72

I

ren sla Hos Hea ice


04/11/2013 -~~~~a~

Chair: Divisional Director CYMHS CHO HHS (JK)


Secretariat: SW AETR Project Manager (tA)

Attendees A/Director of Strategy, Mental Health & Specialised Services WM HHS (LG)






Teleconferenced Carer Representative



Apologies


Observers/ Parent Guests: Parent

Parent Presentation • presented to the Committee. They

also distributed some handouts for the Committee's Information

Distribute handouts IA

• After the parents left, LG advised care planning is underway and that there is no imperative to have children out by 13th December. This date is the end of the school term. LG advised that, if at the end of January, they still have consumers then they will keep the BAC doors open to care for them.

provided by parents

2. Meeting opening i , 2.1 Welcome and A olo ies Nil 2.2 Statement of Conflict/Interest Nil 2.3 Confirmation of Minutes Confirmed 2.4 Statement of achievements Covered below

• LG wanted to that the two districts are well as issues arise and a reciates the collaboration.

Page

Chair Chair LG,EH Chair

8/11

I

98

JKR.900.001.0125EXHIBIT 72

4. 4.1 5. 5.1

6. 6.1

6.2

6.3

ren's Hea s d Hos Health Ser1ice

Matters for Decision Nil Matters for Discussion • JK has had communication with Lesley van

Schoubroeck and she advised that she is receiving questions regarding BAC and asked if it would be ok to distribute the BAC Fact Sheets to her. LG agreed to add her to the distribution list so she receives the latest fact sheets as they are produced.

Visit to NSW Walker and Rivendell Units • JK shared information regarding the recent site

visit to NSW. • A site visit report will be circulated to the steering

committee.

• RH raised the question: what are the resource differences for NSW families compared with QLD? JK stated further information could be collected on this.

• EH noted that the discharge experience at BAC has been challenging - not in so far as families not engaging but rather getting them involved in the ongoing management of their child post discharge.

• It was noted that education is a critical element in this and we need to look at how this is done. For example, Mater and RCH schools are identified as leaders nationally - need to look at what they are doing well. Also need to look at how Education complements the mental health service.

Project Staffing Allocation • Due to time constraints this item was not

discussed.

Standard Agenda Items Service Options WG Update

• Due to time constraints this item, and the Case Scenario Responses, were not discussed

Clinical Care Transition Panels Update

• LJ briefly covered the Panel Status Report provided to the Committee

Financial and Workforce Planning WG Update

• Noted that agreement was not reached between WM HHS and CHQ HHS regarding the purpose and ToR for the WG.

• DM noted both HHSs needed to work together to collate current financial information and to inform workforce and financial er11crn~ for future service options.

• Direction is now sought from the Steerinq

Page 2 of

i

Add Lesley to distribution list

Distribute site visit report

Seek further information regarding NSW services

Explore education elements as part of service model

Distribute Terms of Reference with comments and WG Minutes to Steering Committee for review

LG 8/11

IA 18/11

JK/SS 18/11

SS Ongoing

IA 8/11

99

JKR.900.001.0126EXHIBIT 72

ildren's Hea eens

Item No Topic

Committee 6.4 Risk Management

• Nil risks to note

Hos Health Service

6.5 Progress of key milestones and deliverables • An update on progress will be provided through

the Project Gantt Chart at future meetings - still under develo ment

6.6 Other Business • Nil

Major correspondence • Noted that several interviews have been held

with ABC-World Today, including two with parents, one with SS on Wednesday 3Qth and one with Sharon Kell on Frida 1st

ENDORSED BY:


Name: Position:

Page 3


00

JKR.900.001.0127EXHIBIT 72

! I I I I

Ch ren's H ns d Hos Serv


Date:

Time:

Venue:

Video/ Teleconference Details:

Chair:

Secretariat:

Attendees:

181h November 2013

9am - 10.30am



Judi Krause Divisional Director CYMHS CHO HHS

Stephen Stathis Clinical Director CYMHS CHO HHS



Deborah Miller NExecutive Director Office of Strategy Management, CHQ HHS

Elisabeth Hoehn NClinical Director CYMHS CHO HHS

Josie Sorban Director of Psychology, CHO HHS


Leanne Geppert NDirector of Strategy, Mental Health & Specialised Services, WM HHS

Marie Kelly NDirector Planning and Partnership Unit, MHAODB




I Apologies:

Observers I Guests:

Attachments accompany

1. Presentations


1.0 • Nil

Page 4

1

JKR.900.001.0128EXHIBIT 72

ren's H eensland Hos Service

2. . Meeting Opening

Item no Item






Item no Item

3.1 • Nil


Item no Item

4.1 • SW AETRS Communications Plan


Item no Item

5.1 • Draft Service Model


Item no Item


• Status Update



• Status Update


• Status Update

• Seeking direction regarding Purpose and Terms of Reference

6.4 Risk Management • Nil changes to the Risk Register


• Refer progress against Project Gantt

6.6 Other business


Item no Item



Item no Item

8.1 Sandra Radovini's visit, from Victoria, is proposed for 1 Qth/11 th December. An agenda for her visit is under development.

Page 2 4

Action Officer

Chair

Chair

Chair

Chair

Action Officer

Action Officer

IA

Action Officer

SS

Action Officer

SS

LG

LG/ IA

IA

IA

Action Officer

SS

Action Officer

LG

JKR.900.001.0129EXHIBIT 72

ildren's Heatth n la Hos Health Sen1

Next Meeting

Date: Monday 2nd December 2013

Time: 9am - 10.30am

Venue: Seminar Room, CYMHS Cnr Roger & Water Streets Spring Hill

Page 3

JKR.900.001.0130EXHIBIT 72

ren' H nsland Hospital a He Service

Working Group / Contact each ~orking group to establish membership and / Leanne Geppert j 23/09/13 / First meeting 22/10/13 Membership convene meetings - Steering Committee

direction required

09/10/13 I 3.1 I Working Group Establish web page for SW AETR Initiative - part of CHQ j 1ngrid Adamson I 31110113 I Update Communications Strategy

09/10/13 3.4 Correspondence to Iii 1011;::.c communications strategy Ingrid Adamson 21/10/13 Underway 09/10/13 5.1 Victorian Visit Confirm travel dates with Sandra Radovini Leanne Geppert 31/10/13 Underway 21/10/13 6.1 Service Options Present findings from Case Scenario responses Stephen Stathis 04/11/13 Ran out of time at

Working Group meeting on 4/11

21/10/13 6.5 Project Milestones Present completed Gantt Chart Ingrid Adamson 04/11/13 Underway

04/11/1 1 1 Parent Presentation Distribute handouts provided by parents Ingrid Adamson 08/11/13 Completed

04/11/13 5.1 Matters for Add Lesley van Schoubroeck to BAC distribution list Leanne Geppert 08/11/13 Discussion

04/11 /13

I 5.1 I NSWVisit Distribute NSW Site Visit Report Ingrid Adamson 18/11 /13

04/11/13 5.1 NSWVisit Seek further information regarding NSW spectrum of Stephen Stathis 18/11/13 Completed - included services in Site Visit Report

3 I 6.3 I Financial & Distribute Terms of Reference with tracked changes and Ingrid Adamson 08/11/13 Completed Workforce Working WG minutes to Steering Committee for review and Group comment

-.!.. Page 4 of 4

JKR.900.001.0131EXHIBIT 72

ildren's Health nsland Hea Service


Chair: Divisional Director CYMHS CHQ HHS (JK)



Attendees SW AETR Project Officer (LJ)

Teleconference A/Executive Director Office of Strategy Management, CHQ (DM)

Director Queensland Centre for Perinatal and Infant Mental Health (EH)



Teleconference A/Director of Strategy, Mental Health & Specialised Services WM HHS (LG)

Videoconference

Apologies





Observers/ Guests:

Statement of Conflict/Interest Confirmation of Minutes Statement of achievements Business

3. Business Arising from Previous Meetings 3.1 • JK responded to RH's query regarding NSW's

service offering. It was noted that they have a strong consultation liaison model supporting their paediatric services via their CAM HS service, although not many day programs, step up I step down, or residential units. Information about their service options is provided in the Site Visit Report to be distributed to the Committee.


L • JK has provided her feedback by email. Specifically, noted that it would be appropriate to add JK as a spokesperson in light of the updates

Page 1

Confirmed Covered below

Distribute NSW Site IA 22/11 Visit Report

Incorporate IA 18/11 changes into Communications

JKR.900.001.0132EXHIBIT 72

ren's Health een Hos Health Service

Item No Topic Action Comm'ee Due member date

being provided at the various forums she attends. Plan IA to add JK to the spokesperson list.

• EH noted that the Background section states that the BAC will close 31 January. Agreed to change this to close at the end of January 2014, noting that this is a flexible date and responsive to the needs of the consumer group.

• Nil other comments regarding the CHQ Communications Plan.

5. Matters for Discussion 5.1 Draft Service Model

• SS took the Committee through the elements of the proposed model of care.

• It was noted that the age range needs to be extended above 17yo. Moving forward, half of Grade 12 students will be 18yo. The majority of mental health consumers also typically repeat a year, extending them to 19yo. SS noted that the CE Oversight Committee was sympathetic to this.

• LG advised that Bill Kingswell was also very supportive of extending the age range for adolescent services. They did not, however, discuss how this would be funded.

• JK noted that this is an existing gap in the sector and it wouldn't be appropriate to seek funds from the adult mental health service but rather seek new funding to provide for this age group.

• EH queried whether Redcliffe and Caboolture could access the north Brisbane day program. SS confirmed this was the intent of a north Brisbane unit, and it could even accommodate the Sunshine Coast if families were willing to travel. Likewise, the south Brisbane day program could accommodate clients further south and west.

• EH noted that access to transport should be considered when determining the geographic placement of services, such as proximity to trains, etc.

• It was agreed that flexibility is needed so consumers can access day programs that are closest to them rather than within the specific HHS catchment they reside.

• One option proposed, to ensure this flexibility, is to highlight a cluster approach in service level agreements (versus a strictly HHS catchment-based approach).

• It was noted that the structure of service level agreements will be critical in ensuring funds are allocated to adolescent services once established. Need to give further consideration as to how this will be done.

• When discussing the Resi Rehab option, it was noted that NGO capability needs to be developed to provide this service and this will take time.

• JK noted that the Mental Health Plan is being re-written so whether the FTE planning targets are relevant. LG felt the targets were still relevant to include as a 1c::lc::1c;11Ce, as the MH plan has not

Page 2

06

JKR.900.001.0133EXHIBIT 72

's Hea ee nd I a Hea Service

Item No Topic

been re-written yet. However, it should be noted that the model needs to be an outputs-based model moving forward.

• SS advised that the projected funding requirements ($17m) exceed current funds available and therefore proposed services cannot be implemented immediately, but rather will be rolled out over a period of time.

• JK noted, as a point of interest, that the Department of Communities pays Old Health $19m per annum for the Evolve program, which focuses on a reduced cohort as compared with the SW AETR target population.

6.1 Service Options WG Update • SS briefly covered the Case Scenarios and noted

that the responses provided by WG1 participants informed the model of care.

• noted that there was a gap in the preventive side of service; however, there was a positive correlation between consumers/carers' responses and the clinicians' responses.

6.2 Clinical Care Transition Panels Update • LJ noted that the care panels are progressing -

they are undertaking significant intensive work across the districts to develop individualised transition plans.

• BAC is now down to

• Approximately six to seven day patients will finish at the end of the school term.

• It was noted that a day program or rehab activity is important to help current consumers become more independent.

• School finishes on the 13th December, which will be a significant milestone for the centre. This will be an end point for education at the BAC building. EH noted that farewell activities were underway and also planned for the 13th.

• There is no education input over the school holidays.

• The BAC Education staff are going to stay together as a group, and are currently looking for a new facility (with Yeronga as an option). They intend to continue to support the existing BAC cohort going forward (and other mental health students identified). They are retaining the name Barrett Adolescent School.

6.3 Financial and Workforce Planning WG Update • Noted that agreement was not reached between

WM HHS and CHO HHS regarding the purpose and ToR for the WG.

• JK was unclear as to whether the WG members were the most appropriate to comment on workforce needs for future service o tions as there

Page 5

Action Comm'ee member

Due date

JKR.900.001.0134EXHIBIT 72

ren's H eensla Hos I and Hea Service

Item No Topic

were no mental health representatives. • LG agreed with JK and reiterated that WM HHS will

retain governance over the BAC workforce. • LG noted that WM HHS will be handing over the

BAC operational budget. IA commented that CHO are still waiting on figures. LG agreed to follow up Ian Wright to have these sent through to CHO.

• It was agreed that the financial element of the WG is still important but representation for the workforce elements is no longer appropriate.

• JK and SS proposed that the WG is no longer required. LG agreed with this position.

Recommended • It was agreed to disband the Working Group, with

separate work to be undertaken on workforce and financial elements on an as-needs-basis, with progress reported back to the Steering Committee.

6.4 Risk Management

6.5

• Following the CE Oversight Committee on Friday 17th Nov, a new risk has been added to the risk register: Availability of skilled workforce for future service options.

Progress of key milestones and deliverables • IA noted work is still underway on the Project Gantt

and will be circulated out of session.

6.6 Other Business • Due to the time frames regarding new service

options, WM HHS is proposing to develop a transition plan of services and retain governance for these services until such time as consumers and new service options are ready for transition to occur.

• The first element is a time-limited, activity-based holiday program at the Park in December 2013 I January 2014.

• As of the beginning of February 2014, WM HHS proposes to establish a pilot day program and pilot community outreach team, and, if feasible, a supported accommodation option. All of which will be located in the WM HHS catchment.

• The intention is to ensure there is no gap in services provided to consumers.

• WM HHS presented the proposal to the CE Oversight Committee and it was agreed action needed to be taken.

• This work will align with the proposed service models.

• The target group will predominantly be current BAC consumers, and it is not intended that these services will interfere with the transition plans under development.

Page 4 5

Action

Follow up BAC operational budget.

Advise Working Group representatives of Committee decision

Circulate Project Gantt out of session

Comm'ee member

LG

IA

IA

Due date

22/11

22/11

02/12

08

JKR.900.001.0135EXHIBIT 72

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